Efficacy of Homoeopathy in Treatment of Sarcoidosis – An Evidence Based Report, Based on 50 cases

Dr. Rajneesh K. Sharma presents a study of the efficacy of homeopathy in treating Sarcoidosis.

Abstract

To ascertain efficacy of Homoeopathy in treatment of sarcoidosis, 50 cases during the period since 2007-2013 were selected for study at Homoeo Cure and Research Institute., Kashipur (INDIA). The efficiency of was miraculously seen in all the cases. Almost all were either cured or much relieved.

Aims and objectives

To study scope of Homoeopathy in treatment of ‘Sarcoidosis’ with its miasmatic analysis.

To analyze the results of Homoeopathic medicines when prescribed on the basis of Miasms and on totality of symptoms.

To prepare an evidence based report on the treatment of Sarcoidosis with Homoeopathy.

Introduction

‘Sarcoidosis’ is a ‘not well understood’ complex multisystem, commonplace inflammatory disease, characterized by the formation of noncaseating granulomas. The granuloma is a battle clashed on a genetically susceptible ground between an unrecognized antigen(s) and a highly organized squad of lymphocytes and macrophages. The lungs are the most commonly involved organs, but no structure of the body is known to be immune to its wrecks.

The cause of sarcoidosis is not known. Though not common, it often leads to permanent failure or disabilities of the organs ultimately leading to the end of vital functions.

‘Sarcoidosis’, like other disease, affects the person as a whole irrespective of the cause. The whole economy of the patient is altered producing the signs of ‘Sarcoidosis’ as well as a characteristic picture of sick individual including mental and physicals specific to his personality. This disease picture specific to that particular patient is always different from that in another one, due to his particular identity proving him to be an ‘Individual’. The totality of symptoms depends upon the Miasms under-running the disease process in that individual.

The Psora being the fundamental miasm plays a maximum role in altering the physiology and rendering the entire imbalance. While in combination with other miasms, it produces the worst stage of the sickness. The syphilis produces destruction of tissues. To combat it, Sycosis and Psora play their vital part. This combination in turn increases the destruction as well as new tissue formation too, producing granulomas and fibromas publishing the complete portrait of Sarcoidosis.

This article examines the current understanding of sarcoidosis in terms of Homoeopathy.

Definition of Sarcoidosis

“Sarcoidosis is a disease characterized by the formation in all of several affected tissues of epithelioid-cell tubercles without caseation though fibrinoid necrosis may be present at the centre of a few, proceeding either to resolution or to conversion into hyaline fibrous tissue”.

Egg shell calcification of both hila

‘1-2-3 sign’ – Posteroanterior (PA) chest radiograph of a 31-year-old woman with class I sarcoidosis shows right paratracheal (arrowheads) and bilateral hilar (arrows) lymphadenopathy. This pattern of lymphadenopathy is classic for sarcoidosis and is referred to as the 1-2-3 sign or Garland triad.

The parenchymal disease involves reticulonodular shadowing in a perihilar, mid zone distribution. There is bronchovascular and fissural nodularity. Rarely air space consolidation or parenchymal bands may also be present. Fibros is affects the upper zones where the hilar are pulled superiorly and posteriorly. Lymph nodes can demonstrate egg shell calcification.

HRCT

Very good at confirming irregular septal, bronchovascular and fissural nodularity. Traction bronchiectasis, fibrosis and ground glass change may be present. There may also be tracheobronchial stenosis. Also may be seen subdiaphragmatic, cardiac, bone, hepatic and splenic involvement on the same scan.

CT shows precarinal lymphadenopathy with rim calcification (arrow). This pattern of calcification is referred to as eggshell calcification and is commonly seen with sarcoidosis

A: CT shows ill-defined nodules in a bronchovascular distribution (arrow) in the right upper lobe

Sarcoidosis and Homoeopathy

In clinical study carried out at Homoeo Cure and Research Institute, Kashipur, a total 50 cases of Sarcoidosis were considered. The following results were observed in the research.

Master Chart

S. No.

1

2

3

4

5

Legends

Case no.

13196

13672

14015

14063

14126

Date of Reg.

02-09-2007

22-07-2008

01-04-2009

27-04-2009

14-06-2009

Male= MaleF= Female

H= Hindu

Ml= Muslim

SK= Sikh

CH= Christian

SD= Student

HW= House wife

W= Working

NW= Not Working

M= Married

MW= Widow

S= Unmarried

OB= Obese

TH= Thin

MD= Moderate

Pulmo = Pulmonary

Cardio= Cardiological

Nephro= Nephrological

Neuro= Neurological

Arthro= Arthrological

Dermo= Dermatological

Ophth= Ophthalmological

EN= Erythema nodosum

Name

GSG

KM

NK

NS

AA

Sex

M

F

F

F

F

Age

24

18

41

29

45

Occupation

SD

SD

W

HW

W

Marital status

S

S

M

M

M

Caste

SK

H

H

H

H

Built

TH

TH

OB

MD

MD

Diagnosis

Sarcoidosis (Pulmonary)

Sarcoidosis (Pulmonary)

Sarcoidosis (Arthro- ophth)

Sarcoidosis (Arthro)

Sarcoidosis (Arthro- EN)

Miasm

Sycosis

Pseudo-psora

Sycosis

Psora

Psora

Normal Menses

+

+

Scanty Menses

+

+

Profuse menses

Postmenopausal

Sterility

Family income

Average

Poor

Good

Good

Good

Remedy 1

Ars iod

Tuberculinum

Pulsatilla

Rhus Tox

Rhus Tox

Remedy2

Iodium

Rhus Tox

Nat mur

Pulsatilla

Remedy3

Basis of Prescription

Constitutional

Constitutional

Constitutional

Constitutional

Constitutional

Result

Cured

Cured

Cured

Relieved

Relieved

S. No.

6

7

8

9

10

11

Case no.

14136

14165

14180

14252

14369

16658

Date of Reg.

22-06-2009

10-07-2009

21-08-2009

26-10-2009

11-11-2009

14-12-2009

Name

SP

AG

SM

SB

PC

UM

Sex

F

M

M

F

M

F

Age

56

38

34

32

48

57

Occupation

HW

W

W

NW

W

HW

Marital status

M

M

M

M

M

M

Caste

H

H

H

ML

H

H

Built

OB

OB

MD

MD

MD

TH

Diagnosis

Sarcoidosis (Pulmo-arthro)

Sarcoidosis (Neuro)

Sarcoidosis (Pulmo-Lymphatic)

Sarcoidosis (Neuro)

Sarcoidosis (Pulmonary)

Sarcoidosis (Cardio- Nephro-Pulmonary)

Miasm

Sycosis

Pseudo-psora

Sycosis

Psora

Psora

Pseudo-psora

Normal Menses

Scanty Menses

+

Profuse menses

Postmenopausal

+

+

Sterility

+

Family income

Average

Good

Average

Poor

Average

Good

Remedy 1

Pulsatilla

Beryl met

Lycopodium

Pulsatilla

Phosphorus

Pulsatilla

Remedy2

Beryl met

Plumb met

Beryl met

Thuja

Pulsatilla

Digitalis

Remedy3

Basis of Prescription

Constitutional

Pathological

Pathological

Pathological

Constitutional

Constitutional

Result

Relieved

Relieved

Relieved

Relieved

Relieved

Relieved

S. No.

12

13

14

15

16

Legends

Case no.

16458

16921

16868

17319

14476

Date of Reg.

24-11-2009

01-05-2010

29-03-2010

03-12-2010

20-02-2010

Male= MaleF= Female

H= Hindu

Ml= Muslim

SK= Sikh

CH= Christian

SD= Student

HW= House wife

W= Working

NW= Not Working

M= Married

MW= Widow

S= Unmarried

OB= Obese

TH= Thin

MD= Moderate

Pulmo = Pulmonary

Cardio= Cardiological

Nephro= Nephrological

Neuro= Neurological

Arthro= Arthrological

Dermo= Dermatological

Ophth= Ophthalmological

EN= Erythema nodosum

Name

JS

KS

AK

DA

PK

Sex

F

M

F

F

F

Age

22

42

41

30

49

Occupation

SD

SD

W

HW

W

Marital status

S

S

M

M

M

Caste

SK

H

M

H

H

Built

TH

TH

OB

MD

MD

Diagnosis

Sarcoidosis (Pulmonary)

Sarcoidosis (Pulmonary)

Sarcoidosis (Arthro- ophth)

Sarcoidosis (Arthro)

Sarcoidosis (Arthro- EN)

Miasm

Sycosis

Pseudo-psora

Sycosis

Psora

Psora

Normal Menses

+

+

Scanty Menses

Profuse menses

+

+

Postmenopausal

Sterility

Family income

Average

Poor

Good

Good

Good

Remedy 1

Ars iod

Tuberculinum

Pulsatilla

Rhus Tox

Rhus Tox

Remedy2

Iodium

Rhus Tox

Nat mur

Pulsatilla

Remedy3

Basis of Prescription

Constitutional

Constitutional

Constitutional

Constitutional

Constitutional

Result

Cured

Cured

Cured

Relieved

Relieved

S. No.

17

18

19

20

21

22

Case no.

14918

14922

15069

14801

14733

14847

Date of Reg.

21-09-2010

22-09-2010

10-12-2010

24-07-2010

12-06-2010

21-08-2010

Name

KM

MF

AP

PS

VG

GB

Sex

F

M

M

F

M

F

Age

36

31

32

54

47

40

Occupation

HW

W

W

NW

W

HW

Marital status

M

M

M

M

M

M

Caste

H

M

H

ML

H

H

Built

OB

OB

MD

MD

MD

TH

Diagnosis

Sarcoidosis (Pulmo-arthro)

Sarcoidosis (Neuro)

Sarcoidosis (Pulmo-Lymphatic)

Sarcoidosis (Neuro)

Sarcoidosis (Pulmonary)

Sarcoidosis (Cardio- Nephro-Pulmonary)

Miasm

Sycosis

Pseudo-psora

Sycosis

Psora

Psora

Pseudo-psora

Normal Menses

Scanty Menses

+

Profuse menses

Postmenopausal

+

+

Sterility

Family income

Average

Good

Average

Poor

Average

Good

Remedy 1

Pulsatilla

Beryl met

Lycopodium

Pulsatilla

Phosphorus

Pulsatilla

Remedy2

Beryl met

Plumb met

Beryl met

Thuja

Pulsatilla

Digitalis

Remedy3

Basis of Prescription

Constitutional

Pathological

Pathological

Pathological

Constitutional

Constitutional

Result

Relieved

Relieved

Relieved

Relieved

Relieved

Relieved

S. No.

23

24

25

26

27

Legends

Case no.

16359

14318

28-05-2011

14643

14946

Date of Reg.

13-06-2011

09-10-2009

16316

03-05-2010

02-10-2010

Male= MaleF= Female

H= Hindu

Ml= Muslim

SK= Sikh

CH= Christian

SD= Student

HW= House wife

W= Working

NW= Not Working

M= Married

MW= Widow

S= Unmarried

OB= Obese

TH= Thin

MD= Moderate

Pulmo = Pulmonary

Cardio= Cardiological

Nephro= Nephrological

Neuro= Neurological

Arthro= Arthrological

Dermo= Dermatological

Ophth= Ophthalmological

EN= Erythema nodosum

Name

AK

P

NG

SR

MM

Sex

M

F

F

F

F

Age

28

4

25

29

41

Occupation

SD

SD

W

HW

W

Marital status

M

S

S

M

M

Caste

SK

H

H

H

H

Built

TH

TH

OB

MD

MD

Diagnosis

Sarcoidosis (Pulmonary)

Sarcoidosis (Pulmonary)

Sarcoidosis (Arthro- ophth)

Sarcoidosis (Arthro)

Sarcoidosis (Arthro- EN)

Miasm

Sycosis

Pseudo-psora

Sycosis

Psora

Psora

Normal Menses

+

+

Scanty Menses

+

Profuse menses

Postmenopausal

Sterility

Family income

Average

Poor

Good

Good

Good

Remedy 1

Ars iod

Tuberculinum

Pulsatilla

Rhus Tox

Rhus Tox

Remedy2

Iodium

Rhus Tox

Nat mur

Pulsatilla

Remedy3

Basis of Prescription

Constitutional

Constitutional

Constitutional

Constitutional

Constitutional

Result

Cured

Cured

Cured

Relieved

Relieved

S. No.

28

29

30

31

32

33

Case no.

16784

16225

16434

16289

16432

16224

Date of Reg.

11-02-2010

15-04-2011

05-01-2011

09-05-2011

19-07-2011

15-04-2011

Name

K

VK

BG

RB

SM

AK

Sex

M

M

M

M

M

M

Age

48

62

34

37

58

53

Occupation

W

W

W

NW

W

HW

Marital status

M

M

M

M

M

M

Caste

H

H

H

ML

H

H

Built

OB

OB

MD

MD

MD

TH

Diagnosis

Sarcoidosis (Pulmo-arthro)

Sarcoidosis (Neuro)

Sarcoidosis (Pulmo-Lymphatic)

Sarcoidosis (Cardio)

Sarcoidosis (Pulmonary)

Sarcoidosis (Nephro-Pulmonary)

Miasm

Sycosis

Pseudo-psora

Sycosis

Psora

Psora

Pseudo-psora

Normal Menses

Scanty Menses

Profuse menses

Postmenopausal

Sterility

Family income

Average

Good

Average

Poor

Average

Good

Remedy 1

Pulsatilla

Beryl met

Lycopodium

Pulsatilla

Phosphorus

Pulsatilla

Remedy2

Beryl met

Plumb met

Beryl met

Thuja

Pulsatilla

Digitalis

Remedy3

Basis of Prescription

Constitutional

Pathological

Pathological

Pathological

Constitutional

Constitutional

Result

Relieved

Relieved

Relieved

Relieved

Relieved

Relieved

S. No.

34

35

36

37

38

Case no.

16571

16617

16682

16714

16757

Date of Reg.

18-09-2011

13-10-2011

31-10-2011

20-11-2011

13-12-2011

Male= MaleF= Female

H= Hindu

Ml= Muslim

SK= Sikh

CH= Christian

SD= Student

HW= House wife

W= Working

NW= Not Working

M= Married

MW= Widow

S= Unmarried

OB= Obese

TH= Thin

MD= Moderate

Pulmo = Pulmonary

Cardio= Cardiological

Nephro= Nephrological

Neuro= Neurological

Arthro= Arthrological

Dermo= Dermatological

Ophth= Ophthalmological

EN= Erythema nodosum

Name

RS

SJ

R

US

UJ

Sex

M

M

M

F

F

Age

51

47

42

49

56

Occupation

W

W

W

W

HW

Marital status

M

M

M

M

M

Caste

H

H

H

H

H

Built

TH

MD

TH

TH

OB

Diagnosis

Sarcoidosis(Pulmonary)

Sarcoidosis(Ophth)

Sarcoidosis(Pulmonary)

Sarcoidosis(Pulmonary)

Sarcoidosis(Pulmonary- Artho)

Miasm

Pseudopsora/ Sycosis

Psora/ Syphilis

Sycosis

Psora/ Syphilis

Psora/ sycosis

Normal Menses

Scanty Menses

Profuse menses

Postmenopausal

+

+

Sterility

Family income

Average

Good

Average

Good

Good

Remedy 1

Thuja

Aur met

Pulsatilla

Pulsatilla

Argentum nit

Remedy2

Pulsatilla

Gelsemium

Sulphur

Lycopodium

Causticum

Remedy3

Colchicum

Oleander

Basis of Prescription

Constitutional

Constitutional

Constitutional

Constitutional

Constitutional

Result

Cured

Cured

Cured

Cured

Relieved

S. No.

39

40

41

42

43

44

Case no.

16830

16932

17103

17363

17408

17448

Date of Reg.

23-09-2012

17-03-2012

30-05-2012

09-09-2012

23-09-2012

12-10-2012

Name

SR

SH

SS

AG

AG

NS

Sex

F

M

M

F

F

M

Age

52

32

46

37

36

56

Occupation

HW

W

W

HW

W

W

Marital status

M

M

M

M

M

M

Caste

H

MI

H

H

H

CH

Built

MD

MD

MD

TH

TH

MD

Diagnosis

Sarcoidosis(ARTHR))

Sarcoidosis (Pulmonary)

Sarcoidosis (Pulmonary)

Sarcoidosis (Pulmonary)

Sarcoidosis (Pulmonary)

Sarcoidosis (Pulmonary)

Miasm

Sycosis/ Syphilis

Psoa/ Sycosis

Sycosis/ Syphilis

Psoa/ Sycosis

Psora/ Syphilis

Pseudo-psora

Normal Menses

+

Scanty Menses

+

Profuse menses

Postmenopausal

+

Sterility

Family income

Average

Average

Good

Good

Good

Good

Remedy 1

Tuberculinum

Lycopodium

Medorrhinum

Pulsatilla

Tuberculinum

Carcinosin

Remedy2

Dulcamara

Causticum

Pulsatilla

Arnica

Sulphur

Phosphorus

Remedy3

Bryonia

Carcinosin

Pulsatilla

Basis of Prescription

Constitutional

Constitutional

Constitutional

Constitutional

Constitutional

Constitutional

Result

Cured

Cured

Relieved

Relieved

Cured

Relieved

S. No.

45

46

47

48

49

50

Case no.

17450

17453

17460

17464

17672

17993

Date of Reg.

13-10-2012

15-10-2012

17-10-2012

20-10-2012

25-12-2012

05-04-2013

Name

JM

RNS

SPA

JB

NPS

MV

Sex

M

M

F

F

M

F

Age

41

46

49

28

55

27

Occupation

W

W

W

W

W

HW

Marital status

M

M

M

M

M

M

Caste

CH

H

SK

H

H

H

Built

MD

TH

Th

TH

OB

TH

Diagnosis

Sarcoidosis (Pulmonary)

Sarcoidosis (Pulmonary)

Sarcoidosis(Arhtro)

Sarcoidosis (Pulmonary)

Sarcoidosis (Pulmonary)

Sarcoidosis (Pulmonary)

Miasm

Sycosis/ Psora

Psora/ Sycosis

Sycosis/ Psora

Sycosis

Psora/ Syphilis

Sycosis/ Pseudopsora

Normal Menses

+

Scanty Menses

+

Profuse menses

Postmenopausal

+

Sterility

Family income

Good

Poor

Good

Average

Good

Average

Remedy 1

Tuberculinum

Ignatia

Beryllium met

Carcinosin

Tuberculinum

Thuja

Remedy2

Natrum mur

Ammonium mur

Ruta grav

Argentum nit

Cicuta verosa

Pusatilla

Remedy3

Arnica

Basis of Prescription

Constitutional

Constitutional

Constitutional

Constitutional

Constitutional

Constitutional

Result

Relieved

Relieved

Cured

Relieved

Cured

Relieved

Observations

On analyzing the master chart, the following observations are found-

Sex

Male

24

Female

26

Age in years

0-10

1

11–20

1

21–30

11

31–40

11

41–50

15

51–60

10

61–70

1

Occupation

Working

28

Nonworking

3

Housewife

13

Student

6

Marital status

Married

44

Single

6

Separated

0

Caste

Hindu

38

Muslim

6

Christian

2

Sikh

4

Built

Thin

16

Moderate

23

Obese

11

Diagnosis

Pulmonary

32

Arthropathy

14

Cardio

4

Nephro

3

Ophthalmic

4

Dermo

3

Neuro

5

Miasm

Psora

18

Pseudopsora

9

Sycosis

20

Syphilis

6

With Menses

Normal Menses

8

Scanty Menses

7

Profuse menses

2

Without Menses

Postmenopausal

8

Sterility

1

Family income

Good

24

Average

19

Poor

7

Remedies with

First Remedy

Second Remedy

Third Remedy

Frequency of Use

Ars iod

3

Iodium

3

Bryonia

2

Tuberculinum

7

Rhus tox

3

Colchicum

1

Pulsatilla

15

Natrum mur

4

Oleander

1

Rhus tox

6

Pulsatilla

9

Carcinosin

1

Beryllium met

4

Beryllium met

6

Pulsatilla

1

Lycopodium

4

Plumbum met

3

Arnica

1

Phosphorus

3

Thuja

3

Thuja

2

Digitalis

3

Aur met

1

Gelsemium

1

Argentum nit

1

Sulphur

2

Medorrhinum

1

Lycopodium

1

Carcinosin

2

Causticum

2

Ignatia

1

Dulcamara

1

Arnica

1

Phosphorus

1

Argentum nit

1

Cicuta verosa

1

Ammonium mur

1

Ruta

1

Basis of Prescription

Constitutional

41

Pathological

9

Result

Cured

19

Relieved

31

Discussions

Prevalance of Sarcoidosis on basis of Sex

Sarcoidosis was found more prevalent in Male patients (52%) than Females (48%).

Prevalance of Sarcoidosis on basis of Age

Sarcoidosis was found most prevalent in age group 41-50 years (30%) and least in below 20 and above 60 years of ages (all 2%). Age groups 21-30, 31-40 and 51-60 showed almost equal prevalence (20-22 %).

Prevalance of Sarcoidosis on basis of Occupation

The prevalence of Sarcoidosis was mostly in working patients (56%), house wives (26%), Students (12%) and non-working ones (06%).

Prevalance of Sarcoidosis on basis of Marital Status

Sarcoidosis was found more prevalent in married patients (88%) than single ones (12%).

Prevalance of Sarcoidosis on basis of Caste

Sarcoidosis was found in mostly in Hindus (76%) and least in Christians (4%), in Muslims 12% and in Sikhs 8%. (As per Indian Population).

Prevalance of Sarcoidosis on basis of Physical Built

Sarcoidosis was found in moderate built individuals (46%), obese (22%), thin (32%).

Prevalance of Sarcoidosis on basis of Diagnosis

The most frequent was Sarcoidosis pulmonary (49%), with arthritis (21%), skin lesions (5%), uveitis (6%), with Cardiac (6%), with Neuorological (8%) and with Nephrological manifestations (5%).

Prevalance of Sarcoidosis on basis of Miasms

The most frequent miasm was found to be Sycosis (38%). Others being Psora (34%), Pseudopsora (17%) and Syphilis (11%).

Prevalance of Sarcoidosis on basis of Menstrual History

Sarcoidosis was found most common in females with normal menses (31%) and in postmenopausal ones (31%). It was the least seen in nonmenstruating females including prepubertal cases (2%) and sterile ones (2%). In females with profuse menses, it was 7%.

Prevalance of Sarcoidosis on basis of Family Income

Sarcoidosis seen most common in good family income group (48%), least in poor ones (14%) and moderate in average income group (38%).

Prevalance of Sarcoidosis on basis of Choice of Remedies

First Remedy

The most indicated remedy in first prescription was Pulsatilla (30%), next Tuberculinum (14%) and the third one was Rhus tox (12%).

Second Remedy

The most indicated remedy in second prescription was Pulsatilla (19%), next Beryllium met (13%) and then Natrum mur (9%).

Third Remedy

The most indicated remedy in third prescription was Bryonia (29%), next Colchicum (15%) and then Oleander, Carcinosin, Pulsatilla and Arnica, all 14%.

Prevalence of Sarcoidosis on basis of Basis of Prescription

Most of the cures of Sarcoidosis were seen with constitutional treatment (82%) pathological prescribing (18%).

Prevalance of Sarcoidosis on basis of Basis of Prescription

38% os Sarcoidosis cases were cured and 62% relieved. There was no case which was not relieved with Homoeopathy.

Conclusion

The above study confirms the efficacy of Homoeopathy in treatment of Sarcoidosis in all stages and all types, with amazing success when applied as per laws of similia and proves its superiority among all the existing streams of treatment.

All the reports and details of every patient are kept secret to avoid disclosure of their identity and can be seen in our records if needed.

About the author

Rajneesh Kumar Sharma

Dr. Rajneesh Kumar Sharma, M.D. (Hom) practices in Uttaranchal, India. He is CMD of the Homoeo Cure & Research Institute since 1994. He is also the founder of Hindi Vikas Kalyan Samiti, Kashipur JCs, Homoeo Cure & Research Institute. Dr. Sharma's articles and cases have been published in newsletters and online journals. He has been honored with the Bhartiya Chikitsak Ratna Award 2007, Mother India Award for Udyog Pratibha 2007, Kashipur Gaurav Award 2005, Best International Feature Award 2003 etc. etc. Presently he is practicing at HCRC Pvt. Ltd., Kashipur- Uttaranchal (INDIA).

I Just read your entire post. My mother has been diagnosed with sarcoidosis. It’s been a yr since she is on steroid prednisone…There has been some improvement but there are side effects and her cough keeps coming back…I want to know if there is some drug in homeopathy that can help her…